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Death Certificate - Lawrence, Ray L_1/15/1973' • •. .•. IPi�VyO�NORCOROUERI �� :;f . CERTIFICATE OF DEATH eor.un. �.'S3oo Rs �.nen•,rvi��Hu. 317 rnis srv� — -Rer. I1/72 oecE.sm—..u.e . .,,o,i � . � RAY ' L. �AR ��1�. �IG�O. �� [�M �r �n AGf 'Vw�•� � �� „n�,�.� l•1ifITE D �.�76:,`:�..��„ o� ,. `� _,... ,,«.�. e^u.wry uw� - � otwnrs.�•. _ : ,�,,,��.. ��: " `flYpKlYrot� � �: �WpIGrL . �• �� Y � Z o V Y � �u � c ��- ' � o ar� o Z e W a=< ,. < i � � O K t W � s e N a � JF.'iTI'RSOPI BAIiRACK: Sl�lE01l11M�n.muv.6. •.nl'III � II7DIA?�F, �W.�., toti:i'iecuui::aT..ui�" —'uH „ " „ RE9DENCE—Sf�iE COUHT). �b:IIdDIAi1A �.b. NMFR—n�w�f r� . If �.��lV�.� INI041ANI—NAME ,,. rio�r.zE rat:r�ice �N� �� D4M w�5 C�USFD !�: 11. r.,oun c.uu . � I.i (".TR!`. • .124 '73`_ 3G�154 ` serano�'Die�dce ��C[J . R<oisua.'� Ne . ' . ' . . r+�:JC� �, NLlLE � � i�o..� DtlE 01 liiM i ro•M, o.., '""' `�' oCT 24, 1896 sE?Tit•C3�R 6; _'1973 - COCYTY O� DE�iN '� � . - ,; SAINT IAUZS �" •�, o..o .�.. �.,..,..�,.� .�_..., 1„ VF:Ti�:�i,�s AII�iuJISiRi�TIU;l nib �u�qei;0, HE�FO Me�tl(D. SN��'NG S/OVSE u� wlDp' fD'JNryClOrvnn� U.C.i � n 1 • :> n: . _�L".._.....D _ �i�(C:Cir:�'rw. a�n-�o:_w. .e.. ..w—� INCETON lt7570 liad Y.� h,., �imu . uv MOiNF�—/.uiOfNH.WE ny� I,A's:RIIdCE �, r,oi,� uvfw Lw� 1 cQRJ .= � nn� ' ' ' v. , IREET AND NUMECP �,�. � , r. Tav�",�i 1�LLGEITS ��YM! � . 411 .. ",�MCi �.�I1C�.T.L 14 /�pp9f5$ • �.�.0. �0.. C�1� O� IOVw. t1�R. ��I � �� T0:7�t f�IIGHTS� P�tc�rcar, irmzar:� 47570 owu oM c.usF rf� ImE w� (el. Ie1.•NO (.11 ..�::o,�...:. :. __.. � � � � i _ ::.emo.�. v .... . � . u c.n .m �o Ibl . . . • v+.mi.�� ^.vn m .u.e � � ou= : a. o� .� . eo+uwr+ce oa u�.e u�u we � . . . . . _ IQ . �11I 4. OLHE� $1GHIlIC�Ni CONOIilONS: (Cr�y�i0�� [OVt�i�Vt��4 �O Cl�n �V �OI �1 O C�Vft GM+ �� AU}d$Y 1{' Tf$ v iaC� COt P�T CVA;SIIIII.E DE�iEr:TL1;URINAf�' T.RACT It.TFECTIOI�j. .•�j�� g �e,°'•'� wot:."°"":°:�•"•"" .a�o[Nt. su[io[. nauuoc. o,i�� i�mv, �.o.�,. e..,.�.. � nara now imu.. occu��eo ��M.. ,.mn o� �.�,,.. �....� � o....� ��. m. �. � ORUNp(ItI1MWfD�v�un� . - . LOC1ilON ISIS[t p�.I.O.. J.. CITI P 101w. Si�1LI •.n m wl r.crsr. yna dac.. ca. Isrtc�M 20l. 30q C�tqH— �w�+ o.. . � .o.,M o.. .�u u�� w. .�i.n .�ne a. emine .m .i� me oe�te o r^� _o_ ::or 20, i972 �o_s�pr 6, �473 ��,: .. o.. .,.. ;�,..,,.. .TM ' :2: 1 DID ��. GIION—wE01[�l E��MINEO O� COOOHfa:10� �� IY npu� O� O<��+ � 1 OI[IJIwt �f ��Or�qlrKlO Ol�f .nlo. �, ..u�c.�o.. �. .. o.:�o:n a -a.r. o.. nu - rtcv. o o.. ne o.rt .w om �o �a nw�ni c.no. . ' i��N4NI �h� O� ��r MQ IICElM1SE VO. SI�iH1IU0E [ N m. G� q ��RI DA'. . c. DIG� COOL, M.D. :�� 9 I,,. . �i )rv� /%�-- , � . . � „ �� „� Odd Fellaas ,�. Removal DAff �.o.n., on. n.n fUNE��I nOrF—wMi �n'D �0 :w $ODt. 9, '1973 �,. Cunninnham•. � mw o� 1 __'—_"'""" , Y '" _ . . Il�ED �t M1� ru(1. On �wl , po.,�...e.,�,...,,. a .. ...a.«a�. ow ) q. �o ne o�usi v.no. �� r 's�r'°'7; `i9`T3 Y _ �ir u.n ��5 u �eennu ,. � ,.�.. ST. LOUIS COUNTY HEALTH DEPARTMENT ' ,. � / �,,�� 801 S0, RREiVTW00D BOULEVARD ._ � � �� ,��f"' � = CLAYTON, rffSSOURI 63105 _ - � �� . - . ' - . I certify that this photograph; when impressed•�iuith the seal of the. Sb. Louis County Health Coumiissborier, is a true''and correct copy.of=`.� - •- 'a death record; [he original. of�whicli is on'`file in the State Bureau _ of Vital S[atistics. Witness.myihand..as Regi'sCrar"of Vital Stacistics and the Seal of the St, Louis.County Health Commisaioner, this date , ; . of . . . . _ . _t; N - ,' �" John C; Murphy, M,D„ Aeaie[an[ ;Commi�ssioner of Health ,. � Regietrar of Vital StztLstics , r,`' ._ � `c . . („'�.� Date . . Per � . _ - '- _ - .- - . . . . . - — — - _ , .- . �. : - _ _ �.